| General |
| City |
| Lakewood |
Lakewood |
| State attribute explanation |
| Co |
Co |
| Street |
| 1432 Depew Street |
1685 Eaton Street |
| Zip Code |
| 80,214 |
80,214 |
| Phone |
| 3,032,381,375 |
3,032,324,405 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 83 |
100 |
|
Total Number of Residents |
| 72 |
83 |
|
Percent of Occupied Beds |
| 87 % |
83 % |
| Health Survey Date |
| 11/30/2011 |
2/2/2012 |
| Fire Survey Date |
| 11/30/2011 |
3/1/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 1 |
7 |
|
| Staff Information |
| Number of Residents |
| 72 |
83 |
| Number of RN Hours Per Resident Per Day |
| 0.67 |
1.09 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
0.58 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.38 |
1.67 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
|
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/26/2010date Of Correction: 01/24/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 02/02/2012date Of Correction: 03/08/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/02/2012date Of Correction: 03/08/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 02/02/2012date Of Correction: 03/08/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/17/2010date Of Correction: 07/30/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.survey Date: 06/17/2010date Of Correction: 07/30/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.survey Date: 06/17/2010date Of Correction: 07/30/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Paid Feeding Assistants 1) Completed Training; 2) Works Under The Supervision Of A Rn Or Lpn; And 3) Feeds Only Residents Who Have No Complicated Feeding Problems.survey Date: 06/17/2010date Of Correction: 07/30/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.8 % |
29.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.9:1 |
8.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
9.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 10.6 % |
30.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
7.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 1.4 % |
2.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.1 % |
3.9 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
1.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.6 % |
27.8 (82.0) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
79.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 90.9 % |
65.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 32.3 % |
29.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.2 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.2 % |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
8 % |
| Percent of long-stay residents who lose too much weight |
| 4.1 % |
8.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 10.3:1 |
34.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.3 % |
9.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.4 % |
1.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.6 % |
10.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
1.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.7 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.3 % |
27.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.3 % |
80.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 23.9 % |
58 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.7 % |